Vision, eye exam and eyewear benefits*

High-quality vision care. A broad network of 22,000 vision care providers close to your work and home, including retailers like:

LensCrafters

JCPenney Optical

Pearle Vision (most locations)

Sears Optical

Target Optical

Plus many of your community doctors and optical shops

Routine eye exams

We’ve teamed up with EyeMed to bring you comprehensive, high-quality routine vision care. We cover your routine eye exams with no out-of-pocket cost to you. This means you won’t pay a copayment or co-insurance.** (Benefits and coverage may vary by product, plan design and employer. For specific details regarding your Fallon Health plan, benefits and features, please check with your employer or contact a member of our customer service team.)

What are routine eye exams?

Routine eye exams may include tests, examinations or dilation to:

See the inside, outside and surrounding areas of your eyes

Measure the pressure of your eyes

Evaluate how well you see objects—up close and at a distance

Determine if you need a prescription for glasses or contact lenses

Detect diseases or conditions

Routine eye exams are usually provided by an optometrist, a licensed professional who performs examinations and screenings to diagnose and treat conditions and diseases of the eye. They also prescribe medicines and eyewear.

Specialty vision care

As a Fallon member, you’re also covered for specialty eye care to treat an eye condition or injury. Your plan may require a referral or preauthorization, so be sure to check with us before scheduling an appointment with a vision care specialist.

Specialty vision care is usually provided by an opthalmologist, a medical doctor who specializes in eye surgery and who can also perform eye exams, diagnose eye diseases and disorders, and write prescriptions.

Eyewear and corrective lenses

Up to 35% off frames and discounts on lenses when you purchase a pair of prescription glasses. Discounts and prices may vary.

20% off the price of nonprescription sunglasses.

Discounted contact lenses shipped to your home or office. Save on retail prices by visiting www.contactsdirect.com. Members are responsible to pay for any evaluations or fittings for contact lenses as these are not covered benefits.

Anonymous Compliance Hotline: Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.